Individual provider Active NPI

Melanie Doreen Hoffman

  • Psychologist
  • Pueblo, CO
National Provider Identifier
1891286449
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY.0004750 Issued in CO
Practice address
327 Colorado Ave
Pueblo, CO 81004-2005
Phone
(719) 948-7120
Fax
(719) 298-7144
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0004750 CO Primary

Addresses

Primary practice location

327 Colorado Ave
Pueblo, CO 81004-2005

Mailing address

327 Colorado Ave
Pueblo, CO 81004-2005
Phone (719) 948-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726001138 CO Practitioner - Clinical Psychologist 7911254685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspiring Minds Psychological Services LLCGroup PAC ID 5294191672, 2 clinicians

Practice addresses (Care Compare)

5155 N Academy Blvd
Suite 100
Colorado Springs, CO 80918-4050
Phone (719) 493-5619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY.0004750COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pickett Psychological Services, LLC CurrentSince May 17, 2022 Accepting new patients
Aspiring Minds Psychological Services, LLC CurrentSince May 1, 2023 Accepting new patients
Pickett Psychological Services, LLC CurrentSince May 17, 2022 Accepting new patients

Locations

5155 N Academy Blvd
Ste 100
Colorado Springs, CO 80918
Phone (719) 358-6806

1259 Lake Plaza Dr
Ste 255
Colorado Springs, CO 80906
Phone (719) 598-3585

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1891286449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042005",
            "telephone_number": "719-948-7120",
            "fax_number": "719-298-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 COLORADO AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042005",
            "telephone_number": "719-948-7120",
            "fax_number": "719-298-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MELANIE",
        "middle_name": "DOREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.